| Organization Name: | K C A S ENT INC. |
| NPI Number: | 1659373132 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHLEEN L LUDWIKOWSKI (ADVANCED PRACTICE NURSE PRACTITIONE) |
| Mailing Address: | 706 N Taylor St Marengo |
| State: | IL US |
| Postal Code: | 601522457 |
| Phone Number: | 8155680243 |
| Fax Number: | 8155685350 |
| NPI Enumeration Date: | 08/13/2005 |
| NPI Last Update Date: | 11/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 209000890 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |